Nutrição e síndrome metabólica em Policiais Militares do oeste do Paraná

• Autor(a) principal: Oliveira, Ana Flávia de [UNIFESP]
• Data de Publicação: 2009
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://repositorio.unifesp.br/handle/11600/9847
• topic: Antioxidants; Food consumption; Military personnel; Police; Metabolic syndrome; Consumo alimentar; Militares; Policiais; Síndrome metabólica; Nutrição; Nutrição em Saúde Pública

Introduction: The metabolic syndrome (MetSyn) is a complex disorder that is related to well-established cardiovascular risk factors. The food intake has been associated with MetSyn, however, the role of diet in its origin is not well understood. Objective: To investigate the prevalence of MetSyn and its components relating them to the food intake of the Military Police Officers in the Western region of Paraná. Methods: We analyzed the waist circumference, blood pressure, fasting glucose, triglycerides, high-density lipoprotein (HDL) cholesterol and dietary intake of 280 military police officers, male, 21 to 50 years in Western Paraná. MetSyn and its components were defined by NCEP-ATPIII adapted by IDBSM. We used three 24-hour food recalls for analysis of intake of carbohydrates, proteins, fats, fiber, vitamins A, C, E, D, B12, B9, and calcium. We compared the nutrient intake average between officers with and without MetSyn and its components. Results: We found 69 (24.6%) cases of MetSyn. Among the components of MetSyn, the most prevalent ones were hypertriglyceridemia, low HDL-cholesterol and hypertension. There was a high prevalence of inadequacy in the analyzed micronutrient. Police officers with increased waist circumference eat more energy (p <0.001), carbohydrate (p = 0.02), fibers (p = 0.04), protein (p = 0.002) and total fat (<0.01). Police officers with MetSyn showed higher energy intake (p = 0.03). The intake average of vitamin D was lower in the groups: increased waist circumference (p <0.05), hypertriglyceridemia (p <0.05), hypertension (p = 0.04) and presence of MetSyn (p <0, 05). Conclusion: The military police officers had a poor intake of micronutrients. Despite the limitations of this cross-sectional study, the results suggest that MetSyn in this population can be related to excessive intake of energy and low intake of vitamin D. More attention should be paid to the health conditions and dietary intake of this studied population, who is responsible for providing security service for the Brazilian people.